10D2097765 CLIA NUMBER - BREAK THE CYCLE

Laboratory Demographics

  • CLIA Code: 10D2097765
  • Facility Name: BREAK THE CYCLE
  • Facility Address: 724 S BEACH ST STE 3
    DAYTONA BEACH, FL
    ZIP 32114
  • Facility Phone: 386 333-9622
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: KIMBERLY YOUNG
  • NPI Number: 1578911541
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2097765
LAB Type Comp. Outpatient Rehab Facility
Facility Name BREAK THE CYCLE
Street 724 S BEACH ST STE 3
City DAYTONA BEACH
State FL
ZIP 32114
Phone 386 333-9622
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/23/2025
Certificate Expiration Date 6/22/2027
Facility Type Comp. Outpatient Rehab Facility
Lab Director KIMBERLY YOUNG

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This page was last updated on: 9/29/2025